Bethel Baptist Institutional Church 215 Bethel Baptist Street ~ Jacksonville, Florida 32202 (904) 354-1464/Fax: (904) 359-0015/www.bethelite.

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BEST Saturday Academy Registration Form 2013-2014

Todays Date_______________________ Last Name__________________________ First Name__________________________ Age________ School_____________________________________________________Grade__________________

Answer what applies to the student listed above: High School Only: Current Math Class_____________________________
(For 9th 12th Grade Students)

Home Address__________________________________________________________________ City____________________________ Zip________________ Home Phone________________ Mother________________________________________ Cell Phone_______________________ Father_________________________________________ Cell Phone_______________________ Guardian__________________________ Relationship _______________ Bus. Ph. #_________ In Case of emergency, contact: Name____________________________________________Relationship___________________ Home Phone #___________________________Work Phone #___________________________ Health Conditions We Should Know About: __________________________________________ Instructions: ____________________________________________________________________
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Parent Consent / Release Form & Photo Release Form My signature indicates that I have read this, understand it, and give consent for my child, named above, to participate in all field trips sponsored by the BEST Academy program. I release and discharge its personnel, exercising reasonable care within their scope of employment, from liability growing out of personal injuries or occurring during the activity; or in transit to and from said activity. BEST Academy publishes a variety of information and photos in a newsletter each session about our student activities and successes. From time to time we may wish to include your childs work (stories, poems, reports) and/or photo on our bulletin boards, newsletters, fliers or other forms of communication. No other personal information about the student, such as e-mail address, phone number, or home address will be published on bulletin boards, newsletters, fliers or other forms of communication. Portions of videos may be used for educational purposes only.

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Signature of Parent/Guardian

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Date

Session I: Registration Deadline: Session II: Registration Deadline:

SAT/ACT/End of Course Exams 11th & 12th Graders August 24 October 26, 2013 Grades 3rd 10th September 7 November 9, 2013 September 21, 2013 January 4 - March 8, 2014 (Grades 3rd-12th) January 18, 2014 **Students must attend the last 3 Saturdays of Session II to qualify for an Attendance Award Oct. 12, Jan. 25, Feb. 8)

Four Parent Workshops are planned for the school year. Dates are: (Sept. 14,

BEST Academy Expectations & Guidelines

Participants of BEST are expected to take pride in themselves by giving their best and being their best. An adult family member is encouraged to attend parent workshops provided by BEST. A. Administrators and instructors of BEST Academy shall enforce dress and grooming guidelines that promote the successful operation of the program. The BEST administrators and/or designated persons shall be the final judge as to the neatness of wearing apparel and whether or not such apparel is appropriate, disruptive, distracting, or in violation of health or safety rules. The program administrators shall also be the final judge of appropriate behavior. Each student has the responsibility to dress appropriately for BEST Academy. Student dress and grooming shall be neat and clean, and follow the general guidelines below: 1. Halter-tops, tank tops, backless tops, tops with thin or no straps, or tops that show midriff or overexpose the body are prohibited. 2. See-through or mesh garments shall not be worn without appropriate undergarments. 3. Form-fitting or overly tight clothing shall not be worn without appropriate outer garments. 4. Un-hemmed or frayed shorts, skirts, pants, or dresses, may not be worn. These garments must be properly hemmed. 5. Garments such as boxer shorts, traditionally designed as undergarments may not be worn as outer garments. 6. Clothing and accessories shall not be worn if they display profanity, violence, discriminatory messages or sexually suggestive phrases; or exhibit advertisements, phrases, or symbols of alcohol, tobacco, or drugs. 7. Head coverings, including but not limited to caps, hats, bandannas, hair rollers, and/or sunglasses shall not be worn inside unless required by a physician or authorized by a BEST administrator. 8. The waistband of shorts, slacks, pants, skirts, and similar garments shall not be worn below the hips. If belts, suspenders and straps are worn, they shall be worn in place and fastened. 9. Any articles of clothing or jewelry that may cause injury to other students are not allowed. 10. Wearing apparel, hair and general appearance shall not disrupt the classroom atmosphere; shall not be unusually provocative; and shall not violate the health and safety standards of the program. Disruptive behavior is not acceptable. Students will be dropped after three absences. Students are allowed three tardies. (Students must sign in at the office when tardy after the attendance has been taken in the class.) Students are to be respectful to others. Students are to use proper manners/language at all times No electrical or electronic equipment allowed. Cell phones, iPods, iPhones, & MP3s ARE NOT to be used during class hours, including breaks, unless it is an emergency and staff informed. iPods, headsets, dice, electronic games, water guns, radios, MP3 players, playing-cards, and other games. toys,

B.

C. D. E. F. G. H. I.

Other prohibited items include: Consequences: Profanity: Disrespect to instructors: Disruptive Class Behavior: Dress Code Violation: Fighting/Violence:

1st Parent Contact 2nd - Dismissal nd 1 Parent Contact 2 - Dismissal 1st Warning/Isolation 2nd Parent Contact 3rd - Dismissal 1st Written Warning 2nd Parent Contact 3rd Dismissal Dismissal
st

BEST is a 20 week program with two ten-week sessions. Attendance incentives will be given on the last day of the second session. Attendance in the second sessions is required and the student must be in attendance the last three Saturdays to be considered for an incentive award. Attendance incentives will be provided in three categories: 19 - 20 days present ~ 16 18 days present ~ 10 15 days present. Students who drive to B.E.S.T. must sign out in the office if leaving before 12 noon. An adult must sign out other students in the office who are leaving before 12 noon. Attendance documentation and checkout documentation records are available upon request to parents/guardians.

Registering and accepting these BEST Expectations & Guidelines verifies understanding and agreement to abide by them as so written.